Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Newark Beth Israel

Organization Pediatrics Physician · NPI 1245081918

Newark Beth Israel is a Pediatrics Physician in Newark, New Jersey. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1245081918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebonni Shaw — Pediatric Residency Coordinator · (973) 926-2676
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address201 Lyons Ave, Office Of Graduate Medical Education - Ebonnie Shaw, Newark, NJ 07112-2027

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